Gundersen Clinic, LTD.

Gundersen Clinic, LTD., a tax-exempt nonprofit clinic subsidiary of Gundersen Lutheran Health System, Inc., headquartered in La Crosse, Wisconsin, provides diagnostic imaging, optometry, and physician office services to federal agencies as a prime recipient on federal grant programs (86% of recent awards) and as a subrecipient on disaster-relief and health-system grants. The clinic operates without federal contract vehicles and competes on full-and-open basis across all award categories.

Gundersen Clinic's customer concentration is split between health and correctional system customers. The top five funding agencies account for 67% of awards by count, but the distribution by dollar value reveals a different ordering: the Department of Justice Bureau of Prisons Federal Correctional Institution Waseca leads on potential value with 6 awards totaling $1.1 million, while the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 12 places the largest number of orders (14 awards, $621 thousand combined potential value). The Federal Emergency Management Agency, the Department of the Army, and the Department of Agriculture Rural Utilities Service complete the active customer set. Gundersen Clinic holds indefinite delivery arrangements with VA (contract VA69DP0079, 10 task orders, $222 thousand combined potential value) and with the Department of Justice Bureau of Prisons (contract DJBP041500000001, 5 task orders, $319 thousand combined potential value).

Work performed spans diagnostic imaging, optometry, and physician office services. Recent representative activity includes a $15.7 thousand firm fixed price purchase order from VA VISN 12 for LIMB procurement awarded April 22, 2026, with performance in La Crosse and completion by September 30, 2026. The clinic also received federal grant sub-awards as a subrecipient: funding from the Iowa Department of Health and Human Services (September 2026) for medical equipment procurement and installation to expand rural healthcare capacity, and multiple disaster-relief sub-awards from the Minnesota Department of Public Safety and the Department of Military Affairs Wisconsin (2022–2024) for supplies, materials, and management costs under disaster declarations.

NAICS concentration across the award footprint tracks clinical service lines: 18 awards in Diagnostic Imaging Centers, 7 in Offices of Optometrists, 4 in Offices of Physicians, 3 in Specialty Hospitals, and 2 in Testing Laboratories. PSC distribution mirrors this clinical scope, with Medical-Radiology (13 awards), Medical-Other (7 awards), and Medical-Optometry (6 awards) as top categories. Activity has been sparse and episodic — one award in 2017, two in 2022, three in 2023, one in 2024, and two in 2026 — with combined obligated dollars ($2.5 million) exceeding combined potential value by 25%, indicating awards that ran over their ceiling or multiple completions within a single fiscal period. The clinic's federal footprint remains small and routine, anchored in veteran and correctional healthcare delivery within the upper Midwest.